A KETOH KEEPSAKE FOR GENERATIONS TO COME The ketoh has evolved over the years from being a piece of protection to a piece of jewelry. Featured here is a wonderful older, supple brown leather cuff or "bow guard", with a gorgeous cast sterling silver plate stamped with a simple repetitive design. In the center is a large square cut turquoise stone. The ketoh uses tie strings on the back to keep it in place. This beautiful bracelet is the kind of piece that becomes a family heirloom.